Organization
CCN ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINH C NGUYEN MD (CEO)
(623) 374-7774
Entity
Organization
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
Mailing address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
09/27/2018
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